[ Home ]
 

Membership Form  (Printable form 8.5 x 11)

  
 

Bell County Historical Society
P. O. Box 1344
Middlesboro, KY 40965
(606) 242-0005-1344

Name  __________________________________________________________________________

Address _________________________________________________________________________

City __________________________________ State ______________ Zip Code ________

Phone (_____)____________________ E-mail Address ____________________________

Membership Dues:

Annual Individual Membership .........
Annual Family Membership .............
Life Membership ..............................		 $25.00
$35.00
$300.00		 ______
______
______

Primary Interest:

Genealogy __________

Families being researched: _________________________________________

______________________________________________________________________

Preserving Bell County History ___________
Researching Bell County History __________
Volunteering in the Museum _____________
Other ______________________________

Would contribute to Gateway Journal or Museum (copies of documents accepted)

Bible Records __________
Family History __________
Historical Articles _______		 Pedigree Charts ___________
Record Abstracts___________
Cemetery Records _________

Any no longer needed micro-film could be used in our archive room.

Notes: